male - jalpaiguri.gov.in

Form A-1

Recent passport size

photograph of the

(for individuals) applicant

Form of application for an arms licence in Form II, III and IV (See Rule – 11)

IDENTITY OF THE APPLICANT

1 Name

2 Parent/Spouse Name

3 Sex Male Female

Country State District

4 Place of birth (Nativity)

Date of birth in Christian era must be 21 years of age on the date of application

5 in figures Date : ______ / _______ / ________ ( DD/MM/YYYY )

in words

6 Permanent Account No. (PAN)

7 Aadhar Card Number

8 Present address

District State

(a) Since when residing at the present address Date : ______ / _______ / ________ ( DD/MM/YYYY )

(b) Telephone Number

Office

Residence

(c) Mobile Number

(d) *Nearest Police Station

9 Permanent Address

District State

(a) *Nearest Police Station

10 Occupation

*Note - Nearest Police Station means the police station under whose jurisdiction the place given in the address comes

11 Office/business address

12

Additional particulars if the licence is required Location (village)

for crop protection under rule 35

Area of land under cultivation

OTHER PARTICULARS OF THE APPLICANT

13 Whether the applicant has been -

Y N If yes, details thereof -

(a) convicted Offence

Sentence

Date of sentence : ______ / ______ /___ ________

If yes, details thereof –

ordered to execute a bond under Chapter VIII of

(b)

Code of Criminal Procedure, 1973 (2 of 1974) for Y N Date : ______ / _______/ ____________ ( DD/MM/YYYY)

keeping the peace or for good behavior

Period for which bound

If yes, details thereof –

(c) prohibited under the Arms Act, 1959, or any other Y N

Date : ______ / _______ /____________ ( DD/MM/YYYY)

law from having the arms or ammunition

Period for which prohibited

14 Whether -

(a) the applicant applied for a licence before - if so, If yes, details thereof -

when, to whom and with what result

Date applied for

Y N DD/MM/YYYY

Name of the licensing authority

Result (pl. specify) Approved//Rejected/Pending

(b) the applicant’s licence was ever suspended or If yes, details thereof - Name of the licensing authority

cancelled/ revoked -

Reasons

Y N

(c) any other member of the applicant’s family is in If yes, details thereof - Name

possession of any arms licence, if so, particulars

Licence No.

thereof

Y N

Weapons endorsed 1.

2.

3.

(d) the applicant has a safe place to keep the arms and If yes, details thereof -

ammunition Y N

(e) the applicant has undergone training as specified If yes, details thereof -

under rule 10(whenever made applicable by the Y N

Central Government)

Particulars of licence being applied for

15 Need for licence (see note 1 below)

16 Description of arms for which licence is being sought Category - restricted/permissible

(a) (Tick any one of the options) Rifle □

Shot Gun (BL/ML) □

Hand Gun (Revolver/Pistol) □

Others (-------------------------------------------------------------------)

(b) Description of ammunition or ingredients of

ammunition for which licence is being sought

17 Area within which applicant wishes to carry arms District (Tick any one of the options) State Throughout India

18 claims for special consideration for obtaining the

licence, if any. (attach documentary evidence)

Additional Information

19 Details for an application for licence in Form IV

(a) Place or area for which the licence is sought

(b) Specification of the wild beasts which are

permitted to be destroyed as per the permit granted under the Wild life (Protection) Act, 1972 (53 of 1972) to the applicant

Declaration: I hereby declare that the above particulars given in the application are true, complete and correct to the best of my knowledge and belief. I

understand that in the event of any information being found false or incorrect at any stage, I am liable to be proceeded against and action taken

under the relevant provisions of the Arms Act, 1959, the Arms Rules, 2016, and other central enactments or the law for the time being in force. Place ____________ ________________ Date _____________ ________________ Signature /Thumb - impression of applicant Notes:

1. Against column 15, the applicant should clearly mention the purpose(s) for which the licence is required -

such as use, acquisition, possession, carrying, sport, display, destruction of wild animals which do injury to

human beings or cattle and damage to crops etc. as per the category of licence applied (Form II, III or IV).

2. The following documents under rule 11 are to be submitted along with the application -

(a) four passport size copies of the latest photograph of the applicant (in white background);

(b) proof of date of birth;

(c) identification proof - Aadhar Card or in case the applicant does not have Aadhar Card, a written declaration to be

submitted in the form of an Affidavit along with an alternative identification proof which may include — Passport;

Voter Identification Card, PAN Card or Identity card issued to the employees.

(d) residence proof in case the applicant does not possess Aadhar Card or Passport — (Election Card or Electricity Bill or

Landline Telephone Bill or Rent Deed or Lease Deed or Property documents or any other document to the

satisfaction of the licensing authority);

(e) firearm training certificate in Form S-1 (whenever made applicable by the Central Government by passing a general

or special order);

(f) safe use and storage of firearms undertaking in Form S-2 ;

(g) self-attested copies of the educational and professional qualification certificates from professional category applicants

as specified in clause (a) of sub-rule (3) of rule 12;

(h) medical certificates about mental health and physical fitness in Form S-3;

(i) in case of protection for destruction of wild animals which do injury to human beings or cattle and damage to crops,

permit from the authority empowered under the Wild Life (Protection) Act, 1972 (53 of 1972);

3. Strike off the entries not relevant.

Warning: Suppression of any factual information or furnishing of any false or wrong information in the application form in violation of

arms rules will render the applicant liable for punishment under Section 30 of the Arms Act, 1959.

FORM A-2 (for companies) Form of application for an arms licence in Form II, III, and IV (see rule 11)


1. Name of the applicant company

2. Permanent Account Number (P.A.N.)

3. Corporate Identification Number (C.I.N.)

4. Name of the applicant branch or representative office of the company

(if the application is being fields by such branch or representative office)

5. Constitution of the applicant company

(see Note 1 below) 6. Designation of the ‘responsible person’ who will sign on behalf

of the applicant company

(duly authorised in writing or by way of a board resolution wherein required)

Name of the ‘responsible person’ signing the application

7.

Registered Office Address of the company

Telephone No. (Office)

Mobile Number of the responsible person

E-mail

*Nearest Police Station

8.

Address of the branch or representative office by which the application is being field

Telephone (office/resident)

Mobile No.

E-mail


*Note – Nearest Police Station means the police station under whose jurisdiction the place given in the address comes


9 Whether the applicant or its office bearers or directors has/have ever been ̶

(a) convicted If yes, details thereof ̶

(attach details in a separate sheet, if the Offence

answer is in affirmative) Y N Sentence

Date of Sentence

Date : ________/_______/____________ (DD/MM/YYYY)

(b) prohibited under the Arms Act, 1959, or If yes, details thereof ̶

any other law from having the arms or

ammunition Y N Date : ________/_______/____________ (DD/MM/YYYY)

Period for which

Prohibited

10. Whether ̶

the applicant applied for a licence before If yes, details thereof ̶

– if so when, to whom and with what

(a) result Date applied for ___/___/______ DD/MM/YYYY

Y N Name of the

Licensing authority

Result (pl. Specify)

Approved/Rejected/Pending

the applicant’s licence was ever If yes, details thereof ̶

(b) suspended or cancelled or revoked ̶

Y N Name of the

Licensing authority

Reasons

any other arms licence already held If yes, details thereof ̶

(c) by the company or where the Name

applicant is a branch or representative

office of such company, held by such Y N Licence No.

branch or representative office Weapon endorsed

1.

2.

3.

(d)

the applicant has a safe place to keep the arms and ammunition If yes, details thereof ̶

(e) the retainer or retainers to be employed by

the applicant have undergone training as

specified in rule 10

(whenever made applicable by the

Central Government)

Particular of licence being applied for

Need for licence 11.

(see Note 2 below)

12. Description of arms for which licence is being sought Category – Restricted/Permissible

(a) Rifle

(Tick any one of the option) Shot Gun (BL/ML)

Hand Gun (Revolver/Pistol)

Others

(b) Description of ammunition or ingredients of ammunition for

which licence is being sought

(13) Number of firearms which applicant wishes to apply for

(14) Area within which applicant wishes carry arms District

(Tick any one of the option) State

Throughout India

(15) Claims for special consideration for obtaining the licence, if any

(attach documentary evidence)

Declaration: I,_________________________________, the responsible person __________________________________________________________ (designation as mentioned in column 3) of___________________________________________________________________(name of

the company), hereby declare that the above particulars given in the application are true, complete and correct to the best of my

knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage, I personally as well

as the company are liable to be proceeded against and action taken under the relevant provisions of the Arms ACT,1959, the Arms

Rules,2016, and other central enactments or the law for the time being in force.

____________________________________

Signature with stamp of the responsible person

Signing on behalf of the company

Note:

1. Constitution of the company be mentioned ̶

Private Limited Company; Limited Company; Government undertaking; Society: Co-operative Society; Institute;

University; Partnership Firm; Association of Persons (AOPs) or any other body under any special act or otherwise etc.

2. Against column 9, the applicant should clearly mention the purpose(s) for which the licence is required – such as

use, acquisition, possession, carrying, protection, display, target practice or shooting, etc.

3. The applicant is required to submit the following documents along with the application ̶

(a) Written undertaking on the letter head of the company applicant duly signed by the responsible person appointed vide clause (44) of Rule, 2 for filing an application under the Arms Rules;

(b) Original copy of the board resolution passed or an authority letter confirming the appointment of responsible person referred to in clause (a) above;

(c) Certified copies of the founding documents of the Company including Memorandum and Articles of Association ; (d) Safe use and storage of firearms undertaking in Form S-2 as specified in Rule 10;

Warning:

Suppression of any factual information or furnishing of any false or wrong information in the application form in violation of arms rules will render the applicant company and the responsible person liable for punishment under Section 30 of the Arms Act, 1959.

FORM A-3 (for individual)

Form of application for renewal of Arms License(s)

granted in Form II, III & IV

(See rule 24)

Recent passport

size photograph

of the licensee

IDENTITY OF THE LICENSEE

1. UIN

2. Name

3. Parent/Spouse Name

4. Date of birth in Christian era

(a) in figures ______ / _______ / ____________ ( DD/MM/YYYY )

(b) in words

Present Address

5.

(a) Telephone (Office/Residence)

(b) Mobile No.

(c) E-mail

(d) Nearest Police Station

6. Occupation

7. Office/Business Address

Licence Particulars and Weapon Endorsements

8. Licence Number

9. Date of expiry ______ / _______ / ____________ ( DD/MM/YYYY )

10. Area Validity

11. Weapons Endorsed Weapon 1 Weapon 2 Weapon 3

(a) Type (Rifle/Shotgun/Handgun

Revolver / Pistol) etc.

(b) Bore / Caliber

(c) Weapon Number

12. Ammunition allowed Cartridges Gun Powder/

Percussion Caps


13. Whether the applicant since last renewal or issuance of licence has been -

(a) convicted If yes, details thereof -

Offence

Y N

Sentence

Date of sentence _______ / ________ / ____________(DD/MM/YYYY)

(b) ordered to execute a bond If yes, details thereof –

under Chapter VIII of Code

of Criminal Procedure, Y N

Date _______ / ________ / ____________(DD/MM/YYYY)

1973 (2 of 1974) for

keeping the peace or for Period for which bound

good behavior

(c) prohibited under the Arms If yes, details thereof –

Act, 1959, or any other law

from having the arms or Y N

Date _______ / ________ / ____________(DD/MM/YYYY)

ammunition

Period for which prohibited

14. Whether -

(a) the applicant’s licence since If yes, details thereof –

last renewal or issuance of

licence was ever suspended Name of the licensing authority

or cancelled/ revoked

Y N

Reasons

(b) any other member of the If yes, details thereof –

applicant’s family is in

possession of any arms

Name

licence, if so, particulars Y N

thereof

License No.

Weapons endorsed

1.

2.

3.

(c) the applicant has a safe place If yes, details thereof - to keep the arms and Y N

ammunition

(d) the applicant has undergone If yes, details thereof - prescribed training as

specified under rule 10 Y N

(whenever made applicable by the Central Government)

Declaration: I hereby declare that the above particulars given in the application are true, complete and correct to the best of my knowledge and belief. I

understand that in the event of any information being found false or incorrect at any stage, I am liable to be proceeded against and action taken

under the relevant provisions of the Arms Act, 1959, the Arms Rules, 2016, and other central enactments or the law for the time being in force.

__________________________________________________

(Signature /Thumb-impression of applicant)

Place _______________________

Date________________________

Note:

The exemptee sports persons shall attach a list of the arms & ammunition held by them in a separate sheet against columns 11 and 12. Warning:

Suppression of any factual information or furnishing of any false or wrong information in the application form in violation of arms rules will render the applicant company and the responsible person liable for punishment under Section 30 of the Arms Act, 1959.

FORM A - 4 (for companies)

Form of application for renewal of licence(s) granted in

Form II,III,IV

(Sec rule 24)


1. UIN (18 digit)

2. Name of the licensee company (see Note 1)

3. Constitution of the licensee company

P.A.N./C.I.N

4. Name of the responsible person

5. Address of the licensee company

Telephone No. (office)

Mobile Number of the responsible person

E-mail


Licence Particulars and weapon endorsements

6. License Number

7. Date of expiry ______/______/__________ DD/MM/YYYY

8. Area Validity

9. Total Number of Weapons Endorsed

10. Details of Weapons 1 2 3

(a) Type

(Rifle/Shot gun/Handgun)

(b) Bore

(c) Weapon Number

Separate list be attached for more than three weapons

Cartridge At a time During the year

11. Ammunition allowed Gun Powder / Percussion

Cap


12. Whether the applicant or its office bearers or directors or responsible person since the issuance/last renewal have ever been ̶

a) convicted If yes, details thereof ̶

(attach details in a separate sheet, if the answer is Y N Offence

in affirmative) Sentence

Date of sentence ___/___/______ DD/MM/YYYY

(b) prohibited under the Arms Act, 1959, or any other If yes, details thereof ̶

law from having the arms or ammunition Date ___/___/______ DD/MM/YYYY

Y N

Period for which

prohibited

13. Whether ̶

(a) the applicant’s licence since the issuance or last If yes, details thereof ̶

renewal was ever suspended or cancelled or Name of the licensing authority

revoked Y N

Reasons

(b) the licensee has a safe place to keep the arms and If yes, details thereof ̶

ammunition Y N

(c) the retainers appointed by the company have If yes, details thereof ̶

undergone training requirements as specified in

rule 10 Y N

(whenever made applicable by the Central

Government)

Declaration:

I,__________________________________________________ the responsible person ( named in column 4) of ___________________________________________________ (company name), hereby declare that the above

particulars given in the application are true, complete and correct to the best of my knowledge and belief. I

understand that in the event of any information being found false or incorrect at any stage, I personally as well as

the company are liable to be proceeded against and action taken under the relevant provisions of the Arms

ACT,1959, the Arms Rules, 2016, and other central enactments or the law for the time being in force.

____________________________________

Signature with stamp of the responsible person

Signing on behalf of the company

Note:

1. Constitution of the company be mentioned ̶

Private Limited Company; Limited Company; Government undertaking; Society: Co-operative Society; Institute;

University; Partnership Firm; Association of Persons (AOPs) or any other body under any special act or otherwise etc.

Warning: Suppression of any factual information or furnishing of any false or wrong information in the Application Form in

violation of arms rules will render the applicant company and the responsible liable for punishment under Section

30 of the Arms Act,1959.

FORM A – 11

Form of application for journey licence in Form XI for carrying of arms and ammunition.

Application for Journey Licence

1. Name

2. Parent / Spouse Name

3. UIN

4. Address as per licence in Form III

Mobile No.

5. Licence No.

6. Validity of the licence up to DD/MM/YYYY

7. Area validity as per licence in Form III

8. Mode of Journey (Road/Rail/Air)

9. Names of States likely to be visited during the journey.

10. Period which the Journey is likely to occupy.

11. Description of Arms endorsed on licence which the applicant wishes to carry during Journey.

Weapon Type – Weapon Number -

12. Description of Ammunition endorsed on licence which the applicant wishes to carry during Journey.

Declaration:

I hereby declare that the above particulars given in the application are true, complete & correct to the best of my

knowledge and belief. I understand that in the event of any information being found false or incorrect at any

stage. I am liable to be proceeded against any action taken under the relevant provisions of the Arms Act, 1959,

the Arms Rule, 1962 and other Central enactment or the law for the time being in force.

Place …………………………. Signature / Thumb – impression of applicant

Date ………………………….

FORM A -14 Form of application for a licence in Form XV for firearm free zone

(See rule 46)

1. Name of the applicant

2. Nomenclature

Individual/Company/Others

3. Date of inception of business

4. Nature of business or activity carried out

5. Address

Telephone

Mobile No

E-mail 6. Name of the responsible person in case the

applicant is a company 7 Description of the Area to be declared as Firearm

Free Zone

(enclose site plan and mark in red the area to be

declared as firearm free zone)

8. Reasons for applying for the premises to be declared as fire-arm free zone

1.

2.

3.

9.

Number of surveillance staff employed at the

premises to be declared as firearm free zone Declaration: I,______________________________________ the proprietor / partner / director / responsible person of

_____________________________ (company name), hereby declare that the above particulars given in the application are true,

complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or

incorrect at any stage, I personally as well as the company are liable to be proceeded against and action taken under the relevant

provisions of the Arms Act, 1959, the Arms Rules, 2016, and other laws for the time being in force. Place : ............................

Date : ............................. _____________________ Signature of the applicant

Form B-1

Application for registration with an outside licensing authority (see rule 17)

Part A


1.

UIN

2.

Name

3.

Parent/Spouse Name

4.

Place of birth (Nativity)

5.

Date of birth in Christian era

In figures ( DD/MM/YYYY )

_____________ / ______________ / ___________________ (DD/MM/YYYY)

In words

6.

Present Address

Telephone (Office/Residence)

Mobile No.

E-mail

Nearest Police Station

7.

Address as appearing on the licence


8.

Occupation

9.

Period of stay in the local jurisdiction

Part B

Existing licence particulars and weapon endorsements

10.

Licence Number

11.

Issuing Authority

12.

Last Renewing Authority

13.

Date of expiry

14.

Area Validity

15. Weapons Endorsed Weapon 1 Weapon 2 Weapon 3

Type [Rifle/Shot Gun/Hand Gun (Rev/Pistol)]

Bore

Weapon Number

16. Ammunition allowed Cartridges Gun

Powder/ Percussion Caps

17.

Mention restriction on sale of weapon, if any

18.

Details of additional licensees under rule 20, if any

Additional Licensee No.1

Name

Father’s/Spouse Name

Licence No.

Additional Licensee No. 2

Name

Father’s /Spouse Name

Licence No.

Part C

OTHER PARTICULARS OF THE LICENSEE

19. Whether the licensee, since the last renewal/issuance

of licence has been -

(a) convicted - if so, the offence (s), the sentence and date

of sentence

(b) ordered to execute a bond under Chapter VIII of Code of

Criminal Procedure, 1973 (2 of 1974) for keeping the

peace or for good behavior - if so, - when and for what

period

(c) prohibited under the Arms Act, 1959, or any other law

from having the arms/ammunition

20. Whether -

(a) the applicant’s licence since last renewal/issuance was

ever suspended or cancelled / revoked - if so, when and by

whom and on what account

(b) any other member of the applicant’s family is in

possession of any arms licence, if so, particulars thereof

(other than additional licenses vide para 18)

(c) the applicant has a safe place to keep the arms

Declaration :

I hereby declare that the above particulars given in the application are true, complete and correct to the best of my knowledge and belief. I

understand that in the event of any information being found false or incorrect at any stage, I am liable to be proceeded against and action

taken under the relevant provisions of the Arms Act, 1959, the Arms Rules, 2016, and laws for the time being in force.

Signature /Thumb - impression of applicant

Place ..................................

Date .....................................

Warning:

Suppression of any factual information or furnishing of any false or wrong information in the Application Form in violation of arms rules

will render the applicant liable for punishment under Section 30 of the Arms Act, 1959.

Form – B2

Application for allied services related to licences

issued in Form II, III and IV

Part A


Declaration:

I hereby declare that the above particulars given in the application are true, complete and correct to the best of my knowledge and belief. I understand

that in the event of any information being found false or incorrect at any stage, I am liable to be proceeded against and action taken under the relevant

provisions of the Arms Act, 1959, the Arms Rules, 2016, and other laws for the time being in force.


Place ....................................................

Date ________ / ________ / _______________

Warning: Suppression of any factual information or furnishing of any false or wrong information in the Application Form in violation of arms rules

will render the applicant liable for punishment under Section 30 of the Arms Act, 1959.

1. Name of the licensee

2.

Parent/Spouse Name

3.

Present Address

District State

Telephone Number Office Residence

Mobile Number


4.

UIN

5.

Licence Number

Date of Expiry

/ / ( DD/MM/YYYY)

6. Area validity of the licence

7. Firearms endorsed on the licence Weapon 1 Weapon 2 Weapon 3

Type

(Rifle/Shot Gun/Hand Gun)

Bore/Caliber

Weapon Number

Form – B2

Application for allied services related to licences issued

in Form II, III and IV

Part B

Acquisition of a Firearm

1.

Type of firearm to be acquired

(Rifle/Shot Gun/Hand Gun/Others)

2.

Reason for acquisition of firearm

3.

Claims for special consideration for acquisition

of additional firearm

Declaration:





Place ....................................................

Date ________ / ________ / _______________ (DD/MM/YYYY)

Warning:

Suppression of any factual information or furnishing of any false or wrong information in the Application Form in violation of arms rules will render

the applicant liable for punishment under Section 30 of the Arms Act,1959.

Form – B2



Part C

Endorsement of firearms on the Licence (See rule 18)

A

Acquisition of firearm

(a) Validity of permission to acquire _________ / ________ / ________________ (DD/MM/YYYY)

(b) Date of acquisition of firearm _________ / ________ / ________________ (DD/MM/YYYY)

B

Acquisition from manufacturer or arms dealer

(a)

Name of the vendor

(b) UIN of the vendor

(c) Invoice number

(d) Invoice date _________ / ________ / ________________ (DD/MM/YYYY)

C Acquisition from another licensee

(a)

Name of the transferor licensee

(b)

Parent/Spouse Name

(c)

UIN

(d)

Licence number

(e) Validity period of licence _________ / ________ / ________________ (DD/MM/YYYY)

(f)

Details of permission to sell obtained by transferor _________ / ________ / ________________ (DD/MM/YYYY)

Name of the licensing authority

Reference No.

Date _________ / ________ / ________________ (DD/MM/YYYY)

Expiry date (if any) _________ / ________ / ________________ (DD/MM/YYYY)

D

Details to be furnished in case acquisition of firearm is

made from any place not covered under the area validity

of the licence of the applicant

(a)

Reference No. of NOC issued by the licensing authority

under rule 98

(b) Date of NOC _________ / ________ / ________________ (DD/MM/YYYY)

(c) Validity of NOC _________ / ________ / ________________ (DD/MM/YYYY)

E

(a)

(b)

(c)

Transport Licence Number Issued in Form XII

Name of the issuing authority of transport licence

Date of transport licence _________ / ________ / ________________ (DD/MM/YYYY)

Validity period of transport licence _________ / ________ / ________________ (DD/MM/YYYY)

F Details of firearm to be endorsed

(a) Type of firearm (Hand gun / Shot Gun / Rifle )

(b) Make of firearm

(c) Caliber / bore

(d) Serial Number of firearm

List of documents to be enclosed

1

Original Invoice (refer Para B)

2

Sale confirmation from the transferor licensee (refer Para C)

3 No objection certificate and transport licence (refer Para D)

4 Colored photograph of the firearm acquired showing the serial number of the firearm (refer Para E)

Note: The licensing authority may require the licensee to get the physical inspection of the firearm before endorsement of the

same on the licence.

Declaration:





Place ....................................................

Date ________ / ________ / _______________ (DD/MM/YYYY)

Warning:



Form – B2



Part D

Permission to sell or transfer firearm or ammunition under section 5 of the Arms Act, 1959

1. Details of firearm to be sold or transferred

Type of firearm (Rifle/Shot Gun/Hand Gun)

Bore/Caliber

Weapon Number

2. Details of ammunition to be sold or transferred

Bore/caliber of ammunition

Quantity of ammunition

3. Reason for sale or transfer of firearm or ammunition

(defective condition of the firearm/ economic reason /any other

reason)

4. Particulars of the purchaser or transferee to whom the

firearm or ammunition is to be sold or transferred

If to be sold or transferred to another licensee

(a) Name of the prospective buyer or transferee

(b) Address of the prospective buyer or transferee

(c) UIN

(d) Licence Number

(e) Validity of licence _________ / ________ / ________________ (DD/MM/YYYY)

(f) Validity of purchase period _________ / ________ / ________________ (DD/MM/YYYY)

5 If to be sold to an authorised arms and ammunition dealer

(a) Name of the dealer

(b) Address of the dealer

(c) UIN

This may be treated as the mandatory notice under clause (b) of sub-section (2) of section 5 of the Arms Act, 1959

Declaration:





Place ....................................................

Date ________ / ________ / _______________ (DD/MM/YYYY)

Warning:Suppression of any factual information or furnishing of any false or wrong information in the Application Form in violation of arms rules will

render the applicant liable for punishment under Section 30 of the Arms Act,1959.

Form – B2



Part E

Deletion of Firearms or Ammunition from the licence

1.

Detail of firearm sold or transferred

Type of firearm (Rifle/Shot Gun/Hand Gun)

Bore/Caliber

Weapon Number

2.

Details of ammunition sold or transferred

Bore/caliber of ammunition

Quantity of ammunition

3.

Details of permission to sell granted

Reference Number

Date

________ / ________ / _______________ (DD/MM/YYYY)

4.

Particulars of the purchase or transferee

(a)

In case sold to an arms dealer

Name and address of the arms and ammunition Dealer

UIN

Serial No. of certificate of acquisition

Date of the certificate of acquisition

________ / ________ / _______________ (DD/MM/YYYY)

(b)

In case sold to another licensee

5.

Name of the purchaser or transferee

UIN

Licence number

Validity of licence

Validity of permission to acquire possessed by the transferee ________ / ________ / _______________ (DD/MM/YYYY)

List of documents to be enclosed

1

Acquisition certificate of the arms dealer; or

2. Written confirmation from the purchaser or transferee along with the signed copy of his licence

Declaration:





Place ....................................................

Date ________ / ________ / _______________ (DD/MM/YYYY)

Warning:



Form – B2

Application for allied services

related to licences issued in Form

II, III and IV

Part F

Extension of time limit for acquisition of firearm

(see rule 18)

1

Date of grant of permission to acquire firearm

________ / ________ / _______________ (DD/MM/YYYY)

2

Date of expiry of permission to acquire firearm

________ / ________ / _______________ (DD/MM/YYYY)

3

Period of validity of the licence

________ / ________ / _______________ (DD/MM/YYYY)

4

Reasons for not been able to acquire the firearm within the

stipulated period

5

Details of the firearm to be acquired for which extension is

being sought

6.

Any other claims for special consideration

Declaration:

I hereby declare that the above particulars given in the application are true, complete and correct to the best of my knowledge

and belief. I understand that in the event of any information being found false or incorrect at any stage, I am liable to be

proceeded against and action taken under the relevant provisions of the Arms Act, 1959, the Arms Rules, 2016, and other laws

for the time being in force.


Place ....................................................

Date ________ / ________ / _______________ (DD/MM/YYYY)

Warning:

Suppression of any factual information or furnishing of any false or wrong information in the Application Form in violation of

arms rules will render the applicant liable for punishment under Section 30 of the Arms Act,1959.

Form B-3

Application for addition / deletion of retainer

( See rule 22 )

For companies

To be filled in separately for every addition or deletion

1.

Name of the licensee company

2. UIN

3. Licence number

4. Validity of the licence

_______ / _______ / _________ ( DD/MM/YYYY )

5. Details of weapons endorsed on the licence 1.

2.

3.

6. Retainer details

(a) Name of the retainer

(b) Parent/Spouse Name

(c) Date of birth

________ / _______ / __________ ( DD/MM/YYYY )

(d) Date since employed with the organisation

________ / _______ / __________ ( DD/MM/YYYY )

(e) Present address

(f) Nearest Police Station

(g) Tele/Mobile Number(s)

(h) Permanent address

(i) Nearest police station

Dated : ..............................................

.......................................................................

(Signature of the licensee) .......................................................................

(Signature of the retainer)

Form S-2

Standard format of undertaking for safe storage of firearms

[See rule 10(4)]

To

The Licensing Authority,

……………………………………………..

Undertaking This is to solely affirm and declare that - 1. I have applied for grant of a new arms licence/renewal of arms licence (bearing number ____________________________________ and

my UIN is___________________________________________) 2. I undertake to practice safe storage of the firearm (in knocked down condition) when I am not carrying the firearm(s) with me.

3. I undertake to educate the children about the dangers of interacting with arms and ammunition.

4. I have the capacity to store the firearm safely and securely in a safe or steel almirah in order to minimize the risk that it

could be stolen or accessed by someone else.

It is hereby solely affirmed that the declaration made above is true to the best of my knowledge and belief and if at any subsequent

date, if any of the said declarations is found false or incorrect, I shall be liable for the same including cancellation or revocation of my

licence and subject to penal provisions under the Arms Act, 1959.

____________________________________

( Signature of the Applicant/Licensee ) Place .................. ....................................................

Date .................... ...................................................

:

Note: Enclose proof of safe storage as mentioned at S.No. 4

Form S-3 Standard format of medical certificate [See clause (g) of sub-rule (4) of rule 11)]

(On the letter head of the medical practitioner) This is to certify that I have carefully examined the person whose particulars are furnished below -

1 Name of the person examined

2 Father’s Name/Spouse Name

3 Residential address

4 Age and date of birth

5 Height

6 Weight (in Kgs)

7 Blood pressure (please specify)

8 Deformity, if any (particularly in upper limbs)

9 Any other observation On the basis of examination, it is certified that the person examined as mentioned in column 1 above -

1. is in good physical health and is free from any physical deformity;

2. has been found to be of stable mental condition and is not inclined to violence;

3. has been found not dependent on any substance which has an intoxicating or narcotic effect.

Signature of the person examined named in column (1)___________________________________________________________

Signature of the medical practitioner__________________________________________________________________________

Registration Number _________________________________________________ ___________________________________

SEAL

SCHEDULE IV

(See rule 27)

Table A

Fees payable for licences

PART 1

LICENCES ISSUED UNDER SECTION 3 FOR AQUISTION AND POSSESSION

Sr. No. Licence Form No. Licence Fee at the time of

grant of licence (in Rs.) Renewal fee for each

subsequent year (in Rs.)

1 2 3 4

1. I 2000 1000

2. II 1000 1000

3. III, IV, V

(a) Handguns – Revolvers / Pistols

(both restricted or permissible) 1000 500

(b) Centre fire rifles (semi-automatic) and any other restricted firearms of category I(b) or I(c)

1000 1000

(c) Breach loading centre fire rifles

(not semi –automatic) 1000 500

(d) .22 bore rim-fire-Rifles

(including semi-automatic) 1000 500

(e)

Smooth bore breech loading shotguns

(including semi-automatic)

1000 500

(f) Air Weapons including air rifles and air guns having muzzle energy exceeding 20 joules or 15 ft. lbs. or bore exceeding 0.177” or 4.5 mm

Firearm replicas

Electronic disabling devices having firing range of less than 15 feet

Paint ball markers or guns

Blank firing firearms

Muzzle Loading (ML) Guns

Accessories for any firearms designed or adapted to diminish the noise or flash caused by the firing thereof.

1000 500

(g) Sword, Bayonet, Dagger and Spear Lance.

500 100

(h) Weapons of category V of Schedule I other than those mentioned in (g)

500 100

PART II

OTHER TYPES OF LICENCES

Sl. No. Form No. Licence Fee at the

time of grant of licence (in Rs.)

Renewal fee for each subsequent

year wherever applicable (in Rs.)

1 2 3 4

4. III-B Permits to retainers of companies

(for each entry of addition / deletion) 1000 N/A

5. V-B Permits to members of rifle association’s / clubs

- N/A

6. VI

Temporary export / import licences to tourist / sports persons / other

(for each firearms)

1000 N/A

7. VII Manufacture and Proof Test

(as per the licensed capacity) Rs. 500 per firearm N/A

8. VII-A Manufacture of Category V arms of Schedule I (as per the licensed capacity)

Rs. 200 per arm N/A

9. VII-B

Manufacture of replica of firearms including of antique muzzle loading weapons and air weapons including air rifles / air guns

(as per the licensed capacity)

Rs. 200 per arm N/A

10. VII-C Manufacture of air weapons Rs. 100 per air

weapon N/A

11. VIII Arms and ammunition dealers 2000 1000

12. VIII-A Air Weapons Dealers 1000 500

13. IX Gunsmiths

(for conversion and major repairs) 5000 2000

14. IX-A Gunsmiths

(for carrying out minor repairs) 2000 1000

15. X Composite Import / Export licence for arms and ammunition (for each firearm)

1000 N/A

16. XI Journey Licence

(for each firearm) 500 N/A

17.

XII Transport Licence

Arms and ammunition (for individuals)

(for each firearm) 500 N/A

Arms and ammunition ( for dealers and

manufacturers) (for a single consignment or

maximum three part consignment with in a period of 3 months under the same Transport Licence)

2000 N/A

Sl. No. Licence Form No. Licence Fee at the

time of grant of licence (in Rs.)

Renewal Fee for each subsequent year

wherever applicable (in Rs.)

1 2 3 4

18. XIII Transport licence for proof testing

(for each consignment) 10000 N/A

19. XIV Transporter’s licence 10000 2000

XV

For Import and Transportation for Govt. of Nepal

(for each firearm)

500 N/A

Table B

Fee for allied services

Sl. No. Licence Form Particulars of Service Fee Amount (Rs.)

1 2 3 4

1. III Registration with outside licensing authority under rule 17 (1) 500

2. III Addition / Deletion of retainer under Rule, 22

(for companies) 500

3. AII Change of address within the existing licensing authority under Rule, 17 (3).

500

4. II, III, IV Endorsement of firearm under Rule, 18

(for each arms) 500

5. II, III, IV Addition / Deletion of firearm

(for each arms) 500

6. II, III, IV Transfer of firearms(s) to legal heir under Rule, 25

(for each firearm) 1000

7. II, III, V Change of particulars of ‘responsible person’ under Rule, 22(4) by companies

1000

8. A II Correction of information in licence under Rule, 33 500

9. A II Grant of NOC under Rule, 98 500

10. II, III, IV, V Licence Book 100

11. A II Any other service not mentioned above 500

HOWRAH POLICE COMMISSIONERATE

NDAL – National Database of Arms Licence

DATA INPUT SHEET: INDIVIDUAL

LICENSEE PARTICULAR – INDIVIDUAL

Unique Case File: (Office Use Only)

Name *: Date of Birth* :

Gender*: Male Female Occupation / Profession*:

[Select occupation / profession from : 1. Government Services, 2. Private Services, 3. Business, 4. Agriculturist, 5. Sports Person, 6. Professional, 7. Self Employed, 8. House Wife, 9. Retired, 10. Others (Specify)]

Parent / Spouse Name*: Birth State*:

Birth District*: P.S*: Address*:

Phone No. (O): Phone No. (R): Mobile :

Email ID :

Present Address

Address*: District*:

P.S*:

State*: PIN Country: INDIA

Permanent Address

Tick whether the permanent address is same as present address else fill up the following.


P.S*:


Recent

Photo of

Licensee

Licence issued / Renewed by Local Authority (Only last updated record)

Licence No*: Date of Issue*:DD/MM/YYYY

Validity Period From*:DD/MM/YYYY To*: DD/MM/YYYY Area Validity*:

Date of Area Validity (if any) - Area Validity:1. District, 2. State, 3. Three Adjoining States, 4. All India, 5. Others.

Description : (Purpose, etc.) -

Licence Issued / Renewed by Outside Authority

Licence Number of local authority (if issued): Yes / No

Original Licence No.*: Date of issue of Original Licence*:




Additional Information in Case of Licence issued by Outside Authority

Address at the time of issuance of original licence: District:

State:

PIN

Original issuing authority (D.M / C.O.P)*:

Last Renewing Authority Other Than Original Issuing Authority (prior to local registration)

Last Renewing Authority 1: ……………………………………………………………………………………………....

If more than one renewal done by authority other than original licensing authority: Yes / No

If yes, give last renewing authority 2: …………………………………………………………………………………….

Individual Weapon Detail

Total No. of Weapons Endorsed* (Maximum 3): One / Two / Three

1. Weapon Category*: P.B / N.P.B

Weapon Type*: Carbine / Gun / Revolver – Pistol / Rifle / Short Pistol.

Bore*: Make*: Weapon No*:

Maximum No. of Cartridges Allowed*: No. of Cartridges Allowed to Keep at a Time:

Restrictions, if any Yes / No Life Time Restriction (Tick) Date of Restriction up to

NSP Weapon:

To Sell by Ordnance Factory:

To Sell by State Firearms Bureau:

Imported Weapons:

2 Weapon Category*: P.B / N.P.B Weapon Type: Carbine / Gun / Revolver – Pistol / Rifle / Short Pistol.




NSP Weapon:



Imported Weapons:

3 Weapon Category*: P.B / N.P.B Weapon Type: Carbine / Gun / Revolver – Pistol / Rifle / Short Pistol.




NSP Weapon:



Imported Weapons:

It is declared that the information furnished above is true to the best of my knowledge and belief.

Place: ……………………………….

Date: ……………………………….. Signature with Name

Instruction: Please do not leave Fields marked with *, which are mandatory. In case of licence issued by local authority, please

strike off the block containing fields for ‘Licence issued by Outside Authority’ and vice-versa. If only one weapon is endorsed to the licence holder, please skip the subsequent input columns meant for capturing multiple weapon details issued to the licensee.

Note:If multiple licences are issued to a single person, then furnish such licence details in separate sheet. Documentary proofs may

be required for Date of Birth, Address& any other specified details decided by District Administration.



DATA INPUT SHEET: INSTITUTIONAL

LICENSEE PARTICULAR – INSTITUTIONAL


Name of Institution*:

Type of Institution*:College – School / Govt. Sector PSU / Insurance Company / Nationalised Bank / Public Limited Company / Religious Trust – Body / Security Organisation / University / Others (specify) …………………………………………………………………………………………………….

Phone No.: Email Id:

Address Details


P.S*:


LicenceDetails - Institutional(Only last updated record)





Weapon Details Institutional

Total No. of Weapons Endorsed*:One / Two / Three

Sl. No.

P.B /N.P.B* Weapon Type* Bore* Make* Weapon No.* No. of Cartridges Allowed

Select Weapon Type:1. Carbine, 2. Gun, 3. Revolver – Pistol, 4. Rifle, 5. Short Pistol.

Weapon Retainer – Institutional

Name of Retainer 1*: Father’s Name*:


P.S*:

State*: PIN Country: India

Name of Retainer 2*: Father’s Name*:


P.S*:

State*: PIN Country: India


Place: ……………………………….

Date: ………………………………..

Signature of Head of Institution with Name& Office Seal

Instruction: Please do not leave fields marked with *, which are mandatory. If number of retainers are more, then submit it in

separate sheet.

Note:Documentary proofs may be required for any specified details decided by District Administration.



DATA INPUT SHEET: SPORTS PERSON

LICENSEE PARTICULAR – SPORTS PERSON


Name *:

Gender*: Male Female Date of Birth* :

Parent / Spouse Name*: Country: India, Birth State*:

Birth District*: P.S*: Address*:

Category*: ArjunaAwrdees / International Medalist / International Target Shooters / Junior Target

Shooters / Other Shooters / Renowned Shooters / Sports.

Phone No. (O): Phone No. (R): Mobile :

Email ID :

Exception Certificate*: MOS / NARI No. of Events for which Exemption Sought*: One/Two/More Than TWO

Present Address


P.S*:


Permanent Address

Tick whether the permanent address is same as present address else fill up the following.


P.S*:


Recent Photo

of Licensee

LicenceDetails – Sports Person(Only last updated record)


Shooter Type*: Normal / Jumbo




Weapon Details of Sports Person

Total No. of weapon Endorsed*:(Maximum 10): One/Two/Three/Four/Five/Six/Seven/Eight/Nine/Ten.

Category*: ArjunaAwrdees / International Medalist / International Target Shooters / Junior Target Shooters / Other Shooters / Renowned Shooters / Sports.

General Weapons Category*: None / One / Two / Three. Total Category of Weapons:

Exempted Weapons as per 667(E) 12-09-1985:None / One/Two/Three/Four/Five/Six/Seven/Eight/Nine/Ten.

General: ………………………………, Exempted: …………………………………., Total: ……………………………………

Sl. No.

P.B /N.P.B* Weapon Type*

Bore* Make* Weapon No.*

No. of Cartridges Allowed

Weapon Category

Restriction,If any

1

2

3

4

5

6

7

8

9

10

Select of Weapon Type:1. Carbine, 2. Gun, 3. Revolver – Pistol, 4. Rifle, 5. Short Pistol.

Weapon Category: 1. General, 2. Sports.

Weapon Restrictions, if any:1. NSP Weapon: Yes/No, 2. To Sell by Ordnance Factory: Yes/No, Date of Restriction up to: …………………….. 3. To Sell by State Firearms Bureau: Yes/No, Life Time Restriction: Yes/No, Date of Restriction up to: ………………………………

4. Imported Weapons: Yes/No, Yes/No, Life Time Restriction: Yes/No, Date of Restriction up to: ……………………..


Place: ……………………………….

Date: ……………………………….. Signature with Name

Instruction: Please do not leave fields marked with *, which are mandatory.

Note:If multiple licences are issued to a single person, then furnish such licence details in separate sheet. Documentary proofs may

be required for Date of Birth, Address & any other specified details decided by District Administration.

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